part 11

Question 1

• sudden momentary loss of muscle tone
• onset is usually age 2 to 5 years
• may or may not have LOC
• sudden fall to the ground, often on the face
• if less severe, the head may droop forward

Answer 1

atonic seizure

Question 2

• sudden brief contractions of a muscle group
• may be single or repetitive
• no LOC
• often occur with falling asleep
• may be a nonspecific symptom in many CNS disorders
• may be mistaken for an exaggerated startle reflex

Answer 2

myoclonic seizures

Question 3

-sudden fall to the ground, often on the face

Answer 3

atonic seizure

Question 4

What is the therapeutic management of seizures?

Answer 4

• drug therapy
• ketogenic diet
• vagus nerve stimulation
• surgical therapy

Question 5

seizures lasting more than 30 minutes or a series of seizures in which the pt does not regain a premorbid LOC in between seizures.

Answer 5

status epilepticus definition

Question 6

What is the therapeutic management of status epilepticus?

Answer 6

• maintain airway and monitor for apnea
• safety of the pt
• establish IV access
• meds: IV diazepam or lorazepam, fosphenytoin followed by phenobarbital
• support family

Question 7

• tonic-clonic seizure for <5 minutes
• associated with acute, benign febrile illness
• occurs within 24 hrs. of onset of fever, and does not recur within 24 hours
• no associated neurological findings
• medication does not stop or prevent

Answer 7

febrile seizures

-rare after age 5

Question 8

What type of seizure is a febrile seizure?

Answer 8

tonic-clonic

Question 9

Does medication cure febrile seizures?

Answer 9

no

Question 10

What is the etiology of febrile seizures?

Answer 10

• occur if temp is above 101.8 F
• occurs if there is a rapid increase in temp
• usually over before ED arrival